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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045403842
Report Date: 06/05/2023
Date Signed: 06/05/2023 10:11:02 AM

Document Has Been Signed on 06/05/2023 10:11 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:PEE WEE DAY CARE CENTER PRESCHOOLFACILITY NUMBER:
045403842
ADMINISTRATOR:SIEVERS, ELLYFACILITY TYPE:
850
ADDRESS:7196 SKYWAYTELEPHONE:
(530) 228-7393
CITY:PARADISESTATE: CAZIP CODE:
95969
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 46DATE:
06/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Elly Sievers, directorTIME COMPLETED:
10:15 AM
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A case management inspection was conducted at the facility on 6/5/2023 at 9:26 AM by Licensing Program Analyst (LPA), Pearl DiGenova and Licensing Program Manager Megan Aviles in response to a self reported incident involving an allegation of an injury to a child while in care. The director was interviewed at 9:20 AM and stated that an incident was not observed at the facility that could have caused the injury. 2 Staff were interviewed. 1 Child was interviewed. We could not determine that the injury occurred at the facility. This report was reviewed and discussed with director, Elly Sievers. No violations were cited during today's inspection.

Notice of Site Visit shall be posted for 30 days from today's inspection.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Pearl DiGenova
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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